Jeffrey Su, DPT is a medicare enrolled "Physical Medicine & Rehabilitation - Sports Medicine" provider in Alhambra, California. He graduated from medical school in 2017 and has 7 years of diverse experience with area of expertise as Physical Therapy. His current practice location is
2640 Whitney Dr, Alhambra, California. You can reach out to his office (for appointments etc.) via phone at
(626) 366-6441.
Jeffrey Su is licensed to practice in California (license number PT294376) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1952899502.
Healthcare Provider's Profile
Full Name | Jeffrey Su |
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Gender | Male |
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Speciality | Physical Therapy |
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Experience | 7 Years |
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Location | 2640 Whitney Dr, Alhambra, California |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Jeffrey Su graduated from medical school in 2017
NPI Data:
- NPI Number: 1952899502
- Provider Enumeration Date: 04/30/2018
- Last Update Date: 12/10/2020
Medicare PECOS Information:
- PECOS PAC ID: 0840533303
- Enrollment ID: I20190524000118
Medical Identifiers
Medical identifiers for Jeffrey Su such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1952899502 | NPI | - | NPPES |
PT294376 | Other | CA | PHYSICAL THERAPY |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225100000X | Physical Therapist | 294376 (California) | Secondary |
2081S0010X | Physical Medicine & Rehabilitation - Sports Medicine | PT294376 (California) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Jeffrey Su allows following entities to bill medicare on his behalf.
Provider Name | Fusion Physical Therapy Inc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
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Provider Identifiers | NPI Number: 1437211919 PECOS PAC ID: 2668577180 Enrollment ID: O20070411000468 |
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Provider Name | California Luna Care Physical Therapy Pc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
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Provider Identifiers | NPI Number: 1689162166 PECOS PAC ID: 9638427834 Enrollment ID: O20180803002123 |
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Provider Name | Mas Performancephysio |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
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Provider Identifiers | NPI Number: 1821680174 PECOS PAC ID: 8820405665 Enrollment ID: O20210324000126 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jeffrey Su is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Jeffrey Su, DPT 2640 Whitney Dr, Alhambra, CA 91803-4429 Ph: (626) 366-6441 | Jeffrey Su, DPT 2640 Whitney Dr, Alhambra, CA 91803-4429 Ph: (626) 366-6441 |
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